Yu tink se kɔnflikt de bitwin yu blɔd tayp ɛn yu pikin in yon? (Rh Incompatibility) Mek wi fain out exactly wetin e bi!

We yu dɔn rɛdi fɔ bi mama, yu dɔktɔ ɔ midwayf go aks yu fɔ du difrɛn tɛst dɛn. Wan pan di fɔs ɛn impɔtant tɛst dɛn na fɔ chɛk yu blɔd tayp. dis nכ de nכmכ de chεk yu bכdi grup (lεk A, B, O, AB), bכt i de chεk כda tin, we dεn kכl ' Rh factor '. Wetin mek yu tink se dis rili impɔtant? Wetin yu no? yu `(Rh factor)` kin afekt di hεlth fכ di pikin we de na yu bכdi sכmtεm. So, i rili impɔtant fɔ mek yu ɛn yu pikin ɔl tu no klia wan bɔt dis ali we yu gɛt bɛlɛ.

Wetin na Rh Factor? Lɛ wi ɔndastand am simpul wan.

Okay, naw mek wi si wetin dis `(Rh factor)` evribodi de tok abaut. Imajin se di rɛd blɔd sɛl dɛn we de na wi blɔd tan lɛk smɔl bɔl dɛn. Sɔm pipul dɛn kin gɛt wan spɛshal prɔtin, we na wan smɔl pat pan dɛn rɛd blɔd sɛl dɛn ya. Dat protin na wetin wi de kol `(Rh factor)`. Nɔto ɔlman gɛt dis na dɛn blɔd. Bɔt bɔku pipul dɛn na di wɔl gɛt dis prɔtin na dɛn rɛd blɔd sɛl.

• So, if pכsin gεt dis Rh protin na in bכdi , wi kin kכl dεm `(Rh-positiv)` . I tan lɛk se yu de se ‘yes, i de du’.
• na di כda say, if pכsin nכ gεt dis Rh protin na in bכdi, wi kin kכl dεm `(Rh-negative)` . I tan lɛk se yu de se ‘nɔ, nɔ’.

Naw yu gɛt smɔl mɔ klia, nɔto so? Insay yu blɔd ripɔt, dɛn rayt di blɔd grup wit + ɔ - sayn lɛk A+, B-, O+, ɛn dis `(Rh factor)`. Dat min se ‘A positif’ pɔsin gɛt blɔd tayp A ɛn i gɛt di Rh protin bak, we ‘B negatif’ pɔsin gɛt blɔd tayp B ɛn i nɔ gɛt di Rh protin.

So wetin na Rh Inkompatibiliti?

Naw yu gɛt gud aidia bɔt `(Rh factor)`. So mek wi si wetin na `(Rh Incompatibility)`. Pan ɔl we dis kin tan lɛk wɔd we kin mek pɔsin kɔnfyus smɔl, fɔ tru, i rili simpul. `(Rh Incompatibility)` na kכndishכn we kin apin we di `(Rh factor)` fכ di mama εn di papa fכ di pikin nכ de di sem, i bi positifu כ nεgεtiv, dat min se dεn difrεn frכm wan an . in patikyula, wi de tכk bכt dis mכr we di mama na `(Rh-nεgεtiv)` εn di papa na `(Rh-positiv)`.

Lɛ wi tek wan ɛgzampul ɛn si. Dɔn i go klia mɔ.

Imajin dis simpul tin we go apin. wan mama de we nem Nimali, we in blɔd tayp na `(Rh-negative)` (we min se i nɔ gɛt da prɔtin de na in blɔd). in man, mek wi se Kasun, we in blɔd tayp na `(Rh-positiv)` (dat protin de insay in blɔd).

Naw we Nimali ɛn Kasunu de ɛkspɛkt pikin, chans de fɔ mek di pikin gɛt di `(Rh-positiv)` trayt frɔm di papa.. dat min se di pikin in bכdi kin bi `(Rh-positiv)`. Mɛmba se i nɔ kin apin ɔltɛm, bɔt i kin apin mɔ. jεnarali dεn kin se lεk af pan di pikin dεm we dεn bכn to `(Rh-nεgεtiv)` mama εn wan `(Rh-positiv)` papa kin lεk fכ bi `(Rh-positiv)`.

So, di mama (Nimali) na `(Rh-negative)`, bכt di pikin na `(Rh-positiv)`. Dis na we wi de tɔk bɔt `(Rh Incompatibility)`. dat min se di `(Rh factor)` fכ di mama εn di pikin difrεn. I tan lɛk se tu pipul dɛn de liv na di sem os, bɔt dɛn ɔl tu lɛk difrɛn kayn it dɛn. Smɔl tin de we nɔ gri wit wetin dɛn de tɔk.

Wetin mek di fɔs pikin kin ɔltɛm fayn? Dɔn aw di prɔblɛm kin kam?

Yu go de tink se, ‘Okay, so wetin mek di fɔs pikin nɔ go gɛt prɔblɛm wit dis kayn tin we nɔ gri wit dɛnsɛf?’ Na tru dat. bכku tεm, dis `(Rh Incompatibility)` na big prכblεm we mama in fכs bεlε, we min se i nכ de du di pikin bad . di men rizin fכ dat na biכs we uman bεlε, di mama εn di pikin in blɔd sistεm kin separet. ivin if dεn de chenj di nyutriεnt dεm tru di plasεnta, di pikin in rεd bכdi sεl dεm nכ de go insay di mama in blɔd sistεm (dat na di mama in bכdi sistεm). I tan lɛk sɔntin we de protɛkt pɔsin.

Bɔt we dɛn bɔn di pikin, dat na we dɛn de bɔn pikin , chans de fɔ mek di mama ɛn di pikin in blɔd miks smɔl. Dis na nɔmal tin. if di pikin in `(Rh-positiv)` bכdi (if di mama na `(Rh-negative)`) go insay di mama in bכdi, di mama in imyun sistεm de no di Rh protin we de insay di pikin in bכdi as 'fכrin'. Jɔs lɛk we wan jem ɔ sɔntin we de mek wi gɛt alɛji kam insay wi bɔdi. afta dat di mama in imyun sistεm de stat fכ mek spεshal protεktiv protin dεm we dεn kכl `(antibodies)` εgεst dis Rh protin. Dɛn `(antibodies)` ya tan lɛk sojaman dɛn we dɛn dɔn tren. Dɛn mek dɛn fɔ atak ɛn pwɛl fɔrina sɛl dɛn if dɛn kam bak. we dεn mek dεn `(antibodi)` dεm, dεn de stil de na di mama in bכdi, εn dεn go aktibכt if sכmtin lεk dis apin bak.

Us ɔda we dɛn kin mek antibodies?

כda we dεm de we dεn `( antibodi dεm )` kin divεlכp na `(Rh-nεgεtiv)` mama in bכdi, nכto jכs we i de bכn pikin. I impɔtant fɔ no bɔt dɛn tin ya bak:

• If yu dɔn ɛva gɛt `(Rh-positiv)` blɔd pan aksidɛnt bifo, sɔntɛm dɛn nɔ bin dɔn chɛk yu fayn fayn wan fɔ `(Rh factor)` da tɛm de.
• If yu bin dɔn gɛt bɛlɛ bifo , di pikin in blɔd kin go insay di mama in bɔdi we di bɛlɛ de kɔmɔt.
• `(Ektopik bεlε)`If yu dɔn gɛt bɛlɛ we nɔ de na di bɛlɛ (bɛlɛ we de na do na di uterus). Dis na tin bak we rili denja ɛn i kin mek bak di antibodi dɛn fɔm.
• Sɔm tɛst dɛn we dɛn kin du we uman gɛt bɛlɛ , lɛk amniocentesis (we na tɛst we kin pul smɔl wata na di pikin in amniotic sak), kin mek bak blɔd kɔmɔt smɔl.

i imכtant fכ mεmba se insay kes dεm lεk dis, di pikin (כ di pikin in) `(Rh-positiv)` bכdi kin go insay di mama in bכdi εn mek `(antibodies)` fכm.

So ustɛm di pikin de pan denja? Aw i siriɔs?

as wi bin dכn tכk, di Rh `(antibodies)` dεm we de divεlכp na di mama in b כdi nכmכ de bi prכblεm di tεm we di mama de bεlε sεkכn כ afta dat . di fכs pikin nכ de du bad, biכs di `(antibodi dεm)` de bigin fכ divεlכp wit pikin.

imajin se mama (we na `(Rh-negative)` εn naw i gεt `(antibodies)` na in bכdi) de kכri `(Rh-positiv)` pikin na in bεlε. afta dat, dεn Rh `(antibodi dεm)` we bin fכm bifo na di mama in bכdi εn we de pan alert kin no di Rh protin dεm we de na di sεf fכ di pikin in rεd bכdi sεl dεm as ``fכrin, εnimi.'' lεk sεntinεl dεm. afta dat dεn `(antibodi dεm)` dεm ya kכros di plasεnta εn go insay di pikin in bכdi, εn bigin fכ atak di pikin in inosεnt rεd bכdi sεl dεm.

Dis kin mek di pikin in rɛd blɔd sɛl dɛn swel, bɔs, ɛn pwɛl. wi kin kכl dis kכndyushכn ``Hεmolaytik sik fכ di nyu bכbi'' כ jכs Rh sik. dis kin ridyus di bכdi we de na di pikin in bכdi bכku bכku wan (sεf di rεd bכdi sεl dεm we de kכri כksijεn). Dis min se di pikin go gɛt anemia . Dis kin rili siriɔs.

• Bebi kin gɛt siriɔs janda , we na we in yay ɛn in skin kin yɔlɔ. Dis kin kɔmɔt frɔm wan tin we kin mek we di rɛd blɔd sɛl dɛn brok.
• Dis kin afɛkt di pikin in at, in liva, ɛn in splin. Sɔntɛnde, di at kin ivin pwɛl.
• If i rili bad, di pikin kin ivin day na di bɛlɛ.

So dis nɔto sɔntin we wi fɔ tek am layt. Bɔt, nɔr wɔri, de tritmɛnt wae wi go tɔk bɔt naw, na fɔ mek dɛn nɔr gɛt dɛn tin ya.

Aw dɛn kin trit Rh Inkɔmpatibiliti? Yu tink se wi fɔ fred?

Naw yu kin de fil smɔl fɔ fred we yu yɛri bɔt dis. Bɔt, di gud nyus na dat naw, rili gud, ifɛktiv tritmɛnt dɛn de we kin kɔmplit wan fɔ mek dɛn nɔ gɛt di denja prɔblɛm dɛn we kin apin bikɔs ɔf dis kɔndishɔn we dɛn kɔl `(Rh Incompatibility)`. So no rizin nɔ de fɔ mek wi fred ɔ wɔri we nɔ impɔtant. Di tin we impɔtant pas ɔl na fɔ tek dɔktɔ advays di rayt tɛm ɛn du wetin dɛn se.

Rh Immune-Globulin Vaccine: Dis na wi men tin we de protɛkt wi

If dɔktɔ dɛn disayd se mama we gɛt bɛlɛ de pan denja fɔ gɛt Rh inkɔmpatibiliti (dat na if di mama gɛt Rh-nɛgitiv ɛn di papa gɛt Rh-positiv, ɔ if dɛn nɔ no di papa in Rh factor), dɛn go gi di mama wan spɛshal injɛkshɔn we dɛn kɔl Rh immune -globulin. Dis na di hiro fɔ dis stori. dis injεkshכn dεn kin gi am tu dos, di rayt tεm, di fכs bεlε:

• di fכs vaksin dεn kin gi am arawnd 28 wiks we uman bεlε. Dis na we di mama ɛn di pikin in blɔd kin bigin fɔ miks smɔl.
• di sεkכn injεkshכn dεn kin gi am insay 72 awa afta dεn bכn di pikin. Dis rili impɔtant bikɔs di blɔd kin miks mɔ we dɛn de bɔn pikin.

dis `(Rh immune-globulin)` vaksin de wok jכ s lεk vaksin , bכt wit sכm difrεns. wetin dis de du na fכ mek di mama in bכdi nכ de divεlכp dεn denja Rh `(antibodies)` ( antibodies ) dεm we wi bin dכn tכk bכt. I tan lɛk se yu bil wɔl we go protɛkt yu bifo ɛnimi kam. Dis kin mek yu nɔ gɛt wɛlbɔdi prɔblɛm we di pikin we dɛn jɔs bɔn kin gɛt, ɛn if yu de op fɔ gɛt ɔda pikin tumara bambay, dis go bi big protɛkshɔn bak we yu gɛt da bɛlɛ de.

Mɛmba se if mama gɛt bɛlɛ, amniocentesis , ɔ ɛni ɔda kayn blɔd we i gɛt bɛlɛ, dɔktɔ dɛn go gi am dis Rh immune-globulin vaysin ɔltɛm. If smɔl risk de fɔ mek yu gɛt antibodi, pul dat bak.

Wetin fɔ du if antibodi dɛn dɔn ɔlrɛdi fɔm na di mama in bɔdi?

Imajin, sɔmtɛm, sɔntɛm bikɔs dɛn nɔ bin gi dis vaysin di rayt tɛm we i bin gɛt bɛlɛ bifo, ɔ fɔ sɔm ɔda rizin, dɔktɔ si se mama dɔn ɔlrɛdi gɛt Rh `(antibodies)` na in bɔdi. Wetin yu kin du da tɛm de? Nɔ wɔri, tritmɛnt de fɔ dat bak. if dat apin, dεn kin wach di mama εn di pikin gud gud wan εn wit spεshal atensh כn כl di bεlε. di men tin na fכ si if di `(antibodies)` lεvεl na di mama in bכdi de inkrεs wit denja εn if i de afekt di pikin. Dɛn kin yuz spɛshal skan ɛn blɔd tɛst fɔ dis.

Na smɔl tɛm nɔmɔ, if di tin we nɔ gri wit di pikin bad bad wan fɔ put di pikin pan denja, di pikin kin nid fɔ gɛt spɛshal blɔd transfyushɔn. Dɛn kɔl dɛn tin ya ɛkshɛnj transfyushɔn . if dεn du dis bifo dεn bכn di pikin (insay di bεlε), dεn kכl am intrauterine fetal transfyushכn.) Yɛs, dɛn kin du am afta dɛn bɔn am. dis ``ekshεnj transfyushכn`` de pul di bכdi na di pikin in bכdi we dεn ``antibodi`` dεm dεn dכn pwεl εn i de riples am wit bכdi we gεt hεlty, ``Rh-nεgεtiv`` rεd bכdi sεl dεm. dis de mek di pikin in rεd bכdi sεl kכnt stεbyul, εn i de sכmtεm di damej to di pikin frכm di mama in ``antibodi`` dεm we dεn כlrεdi insay di pikin in bכdi.

Bɔt, a de ripit, bikɔs ɔf di wɔndaful sakrifays we dis `(Rh immune-globulin)` vaysin gɛt, na smɔl kes dɛn de we dɛn de du `(exchange transfusions)` dɛn tɛm ya. Na Sri Lanka bak, dɛn kin yuz dis vaysin fayn fayn wan, na ɔlmost ɔl ɔspitul, so wi kin gɛt bɔku kɔnfidɛns pan am.

Wetin bak impɔtant fɔ mek yu no bɔt dis?

If yu tink se yu gɛt bɛlɛ bɔt yu nɔ no yu Rh factor, di tin we impɔtant pas ɔl na fɔ nɔ panik, bɔt fɔ go to yu famili dɔktɔ ɔ ɔbstetrician-gynecologist kwik kwik wan ɛn bigin fɔ kia fɔ yu bifo yu bɔn . Dis go mɔs inklud fɔ chɛk yu blɔd tayp ɛn Rh factor. Dis na di fɔs tin we yu fɔ du.

If yu no di kɔndishɔn we dɛn kɔl `(Rh Incompatibility)` kwik ɛn gɛt di tritmɛnt we yu nid, mɔ di `(Rh immune-globulin)` vaysin di rayt tɛm , yu kin rɛdi fɔ wɛlkɔm yu pikin na dis wɔl wɛl, yu nɔ go fred ɔ dawt we yu nɔ nid. So, fɔ no dis ɛn ɔndastand di infɔmeshɔn kɔrɛkt wan go bi big trɛnk fɔ yu.

Tɔk opin wan wit yu dɔktɔ bɔt dis. Nɔr frayd ɔr nɔr de shem fɔ aks ɛni kwɛstyɔn ɔr tin wae de mɔna yu. Nɔ tink bɔt tin dɛn lɛk, ‘Na di rayt tin dis fɔ aks?’ ɔ ‘Wetin di dɔktɔ go tink?’ Dɛn de fɔ ɛp yu ɛn yu pikin, fɔ tich yu. Di mɔ we yu de aks kwɛstyɔn dɛn, na di mɔ yu go ɔndastand. I gud fɔ yu ɛn yu pikin.

So, na di tin dɛm we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt (Take-Home Message):

Rh incompatibility nɔto sɔntin fɔ fred, dɛn kin manej am ɛn protɛkt am!

• No yu blɔd tayp ɛn Rh factor: I rili impɔtant fɔ no dis bifo yu gɛt bɛlɛ ɔ ali we yu gɛt bɛlɛ. Dis na di fɔs tin we yu fɔ du.
• Tek tɛm mɔ if di mama na `(Rh-negative)` ɛn di papa na `(Rh-positiv): Dis na we di risk fɔ `(Rh Incompatibility)` de kam insay Tɛl yu dɔktɔ bɔt dis.
• Trɔst di `(Rh immune-globulin)` vaysin: Dis vaysin na di impɔtant tin we de protɛkt yu ɛn yu pikin. Mek shɔ se yu gɛt am we yu dɔktɔ tɛl yu fɔ gi am.
• pan ɔl we di fɔs pikin nɔ kin afɛkt, di pikin dɛn we kin kam afta dat kin afɛkt: so dɛn nid fɔ tek dis nyu wan wit ɛni bɛlɛ. Ivin if yu dɔn gɛt di vaysin bifo, yu go nid fɔ gɛt am bak dis tɛm.
• Tɛl yu dɔktɔ if yu dɔn gɛt bɛlɛ bifo, yu gɛt bɛlɛ na yu bɛlɛ, ɔ yu dɔn transfyushɔn blɔd: Dis infɔmeshɔn rili impɔtant to yu dɔktɔ , bikɔs dɛn tin ya kin mek antibodi dɛn fɔm.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli ɛn di rayt tɛm: Dis na di tin we impɔtant pas ɔl. Gɛt di tɛst dɛm we yu dɔktɔ tɛl yu fɔ du, tek di vaysin dɛm we dɛn se dɛn go du, ɛn lisin to wetin dɛn se.
• Nɔ fred fɔ aks kwɛstyɔn: Tɔk to yu dɔktɔ bɔt ɛnitin we de na yu maynd. Di mɔ yu no mɔ, na di mɔ yu go fil fayn.

So, a op se dis infɔmeshɔn go rili yusful fɔ yu. Mama ɛn pikin we gɛt wɛlbɔdi ɛn we gladi na di wangren op fɔ wi ɔl! Best wishes to yu!

` Rh inkompatibiliti, bεlε, Rh fכktכ, Rh imyun-globulin, antibodi dεm, pikin in hεlth, bכdi tכp